THE ALASKA CARE HOME (NPI# 1659890879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659890879 |
| Entity Type | Organization |
| Organization Name | THE ALASKA CARE HOME |
| Practice Address |
5511 W Montclaire Ave Wasilla AK 99623-0984 |
| Practice Telephone | 9079038619 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Authorized Official Name | JULIE FIESS (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 9079038619 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 101196 | AK | Nursing & Custodial Care Facilities |
| Street Address |
5511 W MONTCLAIRE AVE |
| City | WASILLA |
| State | AK |
| Zip Code | 99623-0984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740791516 | The Alaska Care Home, LLC | Assisted Living Facility | 5511 W Montclaire Ave, Wasilla, AK 99623-0984 | 2017-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104723 | Lisa Newell | Home Health Aide | 7945 S. Settlers Bay Dr, Wasilla, AK 99623 | 2020-01-28 |
| 1780238014 | Bradley Duke Ischinger | Physical Therapy Assistant | 6701 Blondell Drive, Wasilla, AK 99623 | 2019-07-25 |
| 1508423625 | Ramon Ortiz | Counselor | 3940 N. El Taino Circle, Wasilla, AK 99623 | 2019-05-23 |
| 1689239782 | Kristine Ione Bayne | Counselor | 2651 N. Thordore Dr, Wasilla, AK 99623 | 2019-05-03 |
| 1801450382 | Desiree Feringa | Case Manager/Care Coordinator | 6640 S Calista Drive, Wasilla, AK 99623 | 2019-04-30 |
| 1861966269 | Tina Renee Hopkins | Assisted Living Facility | 3471 W Wren St, Wasilla, AK 99623 | 2019-01-18 |
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1972980639 | Jesika Harrell | Physician Assistant | 500 East Benson Blvd, Suite 103, Anchorage, AK 99623 | 2015-05-01 |
| 1497175418 | Mark Hull | Contractor | 1465 N Meadow Lakes Loop, Wasilla, AK 99623 | 2014-04-17 |
| Find all providers in zip 99623 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050516 | Mary Ann Miller | Assisted Living Facility | 4519 W Amanda Dr, Wasilla, AK 99623-1046 | 2019-12-16 |
| 1659912152 | Kristal Steele | Assisted Living Facility | 2650 N Garnet Ln, Wasilla, AK 99654-3414 | 2019-10-05 |
| 1790262905 | Brendan Charles Mccann | Assisted Living Facility | 1460 E Mulchatna Dr, Wasilla, AK 99654-3540 | 2018-07-20 |
| 1477053965 | Justine M Fine | Assisted Living Facility | 1414 N Pioneer Peak Dr, Wasilla, AK 99654-5924 | 2018-02-20 |
| 1760996847 | Utopia LLC | Assisted Living Facility | 6651 N Grouse Loop, Wasilla, AK 99654-9020 | 2017-11-27 |
| 1164960183 | All Good Homes | Assisted Living Facility | 3551 N Aoki Dr, Wasilla, AK 99654-2835 | 2017-02-09 |
| 1093264814 | Joshua House, LLC. | Assisted Living Facility | 2180 S Foothills Blvd, Wasilla, AK 99623-9509 | 2016-09-22 |
| 1275902652 | Magnolia Manor LLC | Assisted Living Facility | 751 N Someret Cir, Wasilla, AK 99654 | 2015-09-16 |
| 1215374749 | Granny's Downhome Care Center | Assisted Living Facility | 2200 E Wolverine Cir, Wasilla, AK 99654-2708 | 2013-05-23 |
| 1689935777 | Dan & Robin Mingo Enterprises | Assisted Living Facility | 7750 W Golden Dr, Wasilla, AK 99623-9235 | 2012-06-05 |
| Find all providers in WASILLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.